Organization
DR. PETERYNE D. MILLER, M.D. LLC
Active
Other names
Dr. Peteryne D. Miller, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OWENS (OFFICE MAANGER)
(918) 863-2910
Entity
Organization
Contact information
Practice address
4870 S LEWIS AVE STE 205, TULSA, OK 74105-5153
(918) 863-2910
Mailing address
4870 S LEWIS AVE STE 205, TULSA, OK 74105-5153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085110B
—
OK
Enumeration date
07/23/2018
Last updated
07/23/2018
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